Individual
KATHLEEN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25349 COUNTY ROAD 60, BOVEY, MN 55709-8032
(633) 002-7517
Mailing address
25349 COUNTY ROAD 60, BOVEY, MN 55709-8032
(763) 300-2751
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
195019
MN
225200000X
Physical Therapy Assistant
195019
WI
225200000X
Physical Therapy Assistant
Primary
A1615
MN
Other
Enumeration date
03/01/2013
Last updated
02/15/2022
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